Module 6: Rehab Part 1 Flashcards
what is rehab
restoration of function, imagination, commitment
mild soft tissue injury
grade 1 sprain with +/- local tenderness
moderate pain during activity, usually has to stop
grade 2 sprain
complete or near complete rupture, severe pain or loss of function
grade 3 sprain
ruptured ligament may be painless due to
loss of continuity
three phases of healing
acute inflammatory
repair
remodeling
acute muscle soreness due to
lack of adequate bloodflow
muscle sorness that occurs 24-48 hours later
delayed
usually due to mechanical stress, free radicals, Ca+ related damage
what does cryotherapy decrease
temperature, swelling, vascular permeability
if muscle is held to same degree of tension, it will increase in length over time
creep
what does ultrasound do
increase healing, increase symptoms of DOMS
what does massage do
increase blood flow, decrease neutrophils, decrease PG synthesis, increase O2
acute inflammation
3-4 days
tissue repair
2 days to 6 weeks
tissue remodeling
3 weeks to 1 year
scar tissue intensive begins between
5th day and 21st day
passive resistive exercises are for
active contraction during the eccentric contraction
rule of 10
10 second contraction, 10 second relax, 10 angles, 10 reps, 10 sets
why train with proprioception
prevent injury, improve joint stability, increase performance
important for performance, speed, and endurance
alignment
comprehensive approach that strives to improve all components necessary to achieve athletic success
functional training
movement is
triplanar (sagittal, frontal, transverse)
most active shoulder muscle
serratus anterior
most common shoulder condition seen in the office
shoulder impingement
superior shoulder pain
AC joint
anterior shoulder pain
subacromial bursitis or biceps
lateral shoulder pain
supraspinatus, deltoid, teres minor, or infraspinatus
anterolateral shoulder pain
supraspinatus
anteromedial shoulder pain
capsule, subscap
elevating arms relieves pain
cervicogenic
supporting elbow relieves pain
AC joint, rotator cuff, cervicogenic/brachial
shoulder strengthening exercises
dumbbell exercises with scaption, flexion, horizontal abduction, bent over rows, push up, press up
AC joint injuries typically due to
fall directly on lateral aspect of the shoulder with the arm adducted
rehab for grade 1 AC joint tear
- ) ice for 24-48 hours
- ) return to sports in 7-10 days
- ) delay heavy lifting and contact sports until full AROM
rehab for grade 2 AC joint tear
- )sling for 1-2 weeks with gentle ROM exercises
2. ) avoid contact sports and heavy lifting for 6 weeks
rehab for grade 3 AC joint tear
- ) immobilization until discomfort has diminished to allow pain free AROM
- ) passive and active ROM for 3-4 weeks, followed by strengthening exercise
entrapment of suprascapular nerve due to
- ) direct trauma
- ) traction when throwing or weight lifting
- ) backpacking
location of suprascap nerve entrapment
Erb’s point due to stretch from a fall on the shoulder or tractioning of the nerve root from a fall
neurological TOS involves
lower trunk of the brachial plexus, caused by an abnormal nerve stretch or compression
vascular TOS involves
subclavian artery and vein, more common in men than women
primary cause of TOS
postural
neurological TOS typically occurs in what kind of patient
women with slender build and droopy shoulders
conservative treatment of TOS
correct postural imbalances, trigger point therapy, pectoral stretching
accounts for 90-95% of GH instabilities
anterior
posterior disclocation force
AP force with the arm in flexion, adduction, and internal rotation
for dislocated shoulders, ice and immobilize for
3-9 weeks
localized elbow pain at the medical epicondyle, can cause avulsion fracture in children
little league elbow
lateral elbow pain ddx in children
tennis elbow, osteochondrosis, osteochondritis dissecans
rehab for adults post surgery with medial elbow pain
posterior splint, cast, begin strengthening after 12 weeks, light throwing, moderate to full throwing
rehab for adults with lateral elbow pain
same as medial rehab program but with brace in 30 degree block splint for 4 weeks
posterior elbow pain causes
triceps tendinitis, olecranon bursitis, loose bodies, dislocation, valgus overload syndrome
test for dislocation of the lunate
murphys sign
indicates possibility of scaphoid/navicular fracture
anatomical snuff box
injury to the collateral ligaments of the thumb
gamekeepers thumb/skiers thumb
most common finger for jersey finger
ring finger
hip ligaments
iliofemoral, pubofemoral, ischiofemoral
iliopecitneal bursa can refer pain
down front of leg due to entrapment of femoral nerve
trochanteric bursa pain referral
pain may occur during flexion and internal rotation of thigh
ischiogluteal bursa parn
from sitting too long and may cause sciatic nerve irritation
hip problems refer pain to
the knee without giving hip pain
antalgic gait in obese people may indicate
slipped capital femoral epiphysis
to get full ROM of knee after ACL tear, it is recommended to
places emphasis on hamstrings and quads, secondary emphasis on hip and lower legs
how to relieve stress on ACL injured knee on the cycling bike
lower the seat and pedal on the balls of your feet
